Hickory Manor Nursing & Rehabilitation Center
LBN: Hickory Manor Nursing & Rehabilitation Center, Llc
Hickory Manor Nursing & Rehabilitation Center is an health care organization with primary practice located at 370 W Hickory Ave , Bastrop LA 71220-4442. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Hickory Manor Nursing & Rehabilitation Center, Llc can be contacted via phone (318) 281-6523, or through Price, Teddy Ray via phone (318) 628-4116.
Contact Information
Primary practice address
370 W Hickory Ave
Bastrop LA 71220-4442
Phone: (318) 281-6523
Fax: (318) 283-1097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 196 | Louisiana |
Profile Details
| NPI number | 1992786024 |
|---|---|
| LBN Legal business name | Hickory Manor Nursing & Rehabilitation Center, Llc |
| DBA Doing business as | Hickory Manor Nursing & Rehabilitation Center |
| Authorized official | Price, Teddy Ray |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992786024 | NPPES |
| Louisiana | MEDICAID | 1520756 |
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